| NPI | 1720256480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE L BOTTI Owner Sole Proprietor 814-445-6395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG000984) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2009-02-20 |